Care Coordinator-10 at BMC HEALTH SYSTEM INC

Arlington, Massachusetts, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Dec, 25

Salary

0.0

Posted On

28 Sep, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Care Coordination, Health Coaching, Community Resources, Social Services, Pediatric Experience, Behavioral Health, Interpersonal Skills, Organizational Skills, Consumer Assessment, Team Collaboration, Documentation, Data Integrity, Ethical Practices, Customer Service, Bilingual Skills, Self-Determination

Industry

Medical Practices

Description

POSITION SUMMARY: Are you passionate about making a difference in people’s lives? Join Boston Allied Partners as an LTSS Care Coordinator and play a key role in helping members live healthier, more supported lives. In this role, you will: Develop and implement personalized care plans that empower members and their families by leveraging available long-term services and supports (LTSS). Actively participate in care teams, ensuring smooth coordination across providers. Support members through transitions of care, connecting them to the right services at the right time. Provide health and wellness coaching to help members reach their goals. Link members with community resources and social services to address barriers beyond healthcare. You’ll work within established timelines to meet MassHealth requirements, ensuring services are not only compassionate but also compliant. Accurate documentation is key—you’ll maintain records in our electronic health record system, upholding data integrity, tracking requirements, and supporting program success. If you’re organized, compassionate, and thrive on helping others navigate the healthcare system, we’d love to meet you. Essential Functions: What You’ll Do as an LTSS Care Coordinator In this role, you’ll play a vital part in supporting children, youth, and families by ensuring they have access to the care, services, and resources they need. Engage members and families – Reach out to individuals referred into the program (primarily ages 3–21) to inform them about the option to receive LTSS Community Partner supports. Create meaningful care plans – Partner with enrollees and their families to develop personalized LTSS care plans that reflect their preferences, goals, and needs. Empower participation – Provide guidance and accommodations so members can fully understand LTSS services and actively participate—or even lead—their care planning process. Collaborate across teams – Work with LTSS RNs, clinical care managers, PCPs, and other care team members to deliver a person-centered, comprehensive plan of care. Connect to resources – Link members to social services, community resources, and state programs that address both medical and non-medical needs. Support wellness – Provide health and wellness coaching, helping members set and achieve personal health goals. Coordinate transitions – Assist members with smooth care transitions through timely assessments, transition planning, and follow-up support. Stay connected – Maintain regular contact with members through phone calls, reassessments, and case conferences. Grow with us – Participate in training sessions, team meetings, and professional development opportunities. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Supervision received: Weekly and ongoing from Clinical Care Manager JOB REQUIREMENTS EDUCATION: (A.) LICSW or LCSW; or (B.) Bachelor’s degree in social work, human services, nursing, psychology, sociology, or related field; or (C.) Associate’s degree and at least one year of professional experience in the field; or (D.) at least three years of relevant professional experience. EXPERIENCE: Pediatric and/or Behavioral Health experience strongly preferred Preferred/Desirable: • Experience working with Medicaid recipients and community services • Experience with Epic, eHana, or other EHR system CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Pre-employment background check Regular and reliable transportation and the ability to conduct face-to-face appointments with members, providers, community and state agencies KNOWLEDGE AND SKILLS: Ability to visit consumers in the environment in which they reside such as the individual’s home, apartment, shelter, group home, etc. Must possess advanced skills in consumer assessment and be able to assess the physical conditions of the consumer's home as well as the consumer. Exhibit interpersonal flexibility, initiative, and teamwork. Solid organizational skills Second language is preferred Ability to use computer systems in various environments (mobile phone, desktop, tablet). Ability to learn and utilize various software programs. Acceptance of the right to self-determination. Maintains consumers’ rights, privacy and confidentiality in all aspects of the job, including those relating to diagnosis and consumer records. Promotes and employs ethical actions at all times with consumer’s families and others. Participates in performance improvement activities as requested to do so. Identifies and communicates opportunities for improvement. Demonstrates excellent customer service by conducting daily activities, communications and interactions in a cooperative, positive and professional manner. Proficient in reading, writing, and communicating in English Bilingual (e.g., Spanish, Haitian Creole, Cape Verdean Creole) preferred Communicate in a manner appropriate and respectful to the comprehension level of the consumer and/or family. Maintains the responsibility for punctuality and attendance as defined in the agency policy to ensure optimal operation of the program. Submits requests for vacation, days off, etc. in accordance with department policy. Effort: Regular and reliable attendance is an essential function of the position. Work may be performed in a typical interior/office work environment or in a home office except when conducting face-to-face visits. Face-to-face visits may be conducted in a member’s home, shelters, physician practices, hospitals, or at a mutually agreed upon location between the member and the care manager and with community and state agencies, as appropriate. No or very limited physical effort required. No or very limited exposure to physical risk. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. Working at Boston Medical Center is more than a job. It’s a chance to make a difference as part of our mission to provide exceptional and equitable care to all. As a nationally-recognized leader in health equity, nursing, initiatives to combat climate change, and many other areas, BMC is dedicated to improving the health of our community in Boston and beyond. BMC’s mission to provide exceptional care without exception extends to our employees, and we have been recognized as a top employer and best place to work. A strong sense of teamwork and support for our staff are the bedrock of BMC, as we know that we can only provide exceptional care to patients when our staff are cared for too. Boston Medical Center is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to Talentacquisition@bmc.org or call 617-638-8582 to let us know the nature of your request. Boston Medical Center participates in the Electronic Employment Verification Program. As an E-Verify employer, prospective employees of BMC must complete a background check before beginning their employment at the hospital. BMC requires all staff to be vaccinated against COVID-19 and flu, as well as receive a booster dose of the COVID-19 vaccine. According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. To avoid becoming a victim of an employment offer scam, please follow these tips from the FTC: FTC Tips

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Responsibilities

As an LTSS Care Coordinator, you will develop and implement personalized care plans for members, ensuring they receive the necessary long-term services and supports. You will actively participate in care teams and provide health and wellness coaching to help members achieve their goals.